If the SP gives a response of ‘No’ to all the above questions, these questions will not beflagged for review by the Physician in the MEC.
In addition, SPs who are greater than 12 weeks pregnant will be excluded. A urine test forpregnancy will be completed and a self-report of pregnancy status will be obtained. If these conditions are
confirmed in the Household Questionnaire, the SP is excluded from the CV component before they enter
the mobile examination center (MEC). The system will record the component status as ‘Not Done’ with
the comment ‘safety exclusion.’ The SP will not need to go to the CV room in the MEC to have this
exclusion recorded.
3.1.3 Medications
SPs are excluded from the CV Fitness component if they are taking medications that mayindicate the SP is being treated for a medical condition that would be a contraindication to performing a
treadmill test in the NHANES setting. In addition, SPs are also excluded if a medication they are taking
may affect the validity of the test results (i.e. beta blockers). Exclusionary medications include anti
arrhythmics, nitrates, beta-blockers, cardiac glycosides, ophthalmic beta-blockers, and
antihypertensive/betablocker/diuretic combinations. See Appendix C for a detailed list of exclusion
medications with class codes. This list is updated every 3 months if necessary to include recently released
medications.
Information on medications is collected in the Household Interview and displayed in thePhysician’s Exam application on the CV Review for Exclusion Medication screen. (See Exhibit 3-1.) If
an SP reported taking a medication that is on the exclusionary medication list, the system will flag the SP
for exclusion to CV Fitness. In addition, any reported prescription medications will flag that SP for
review by the MEC physician.
At the beginning of each session, the MEC physician will review the Exclusion Medicationscreen and will confirm flagged exclusions by checking the reported medications with the current list of
exclusion medications. The physician will also check all reported prescription medications to confirm that
no exclusion medications were reported that did not flag an exclusion. If an exclusion medication is
confirmed the ‘Exclude from CV’ box will be checked. The system will block the SP from CV Fitness
and set the Component status for CV Fitness to ‘Not Done’ with the comment ‘safety exclusion.’